Agenda - 11-05-2003-9a - Laserfiche WebLink

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21 Staffing Collaboration was key to establishing the highly qualified staff active in the program, The Department on Aging employs the Adult Day Health Manager and contracts with the UNC School of Nursing to provide a Registered Nurse (RN) that can also supervise nursing students, giving them more exposure and experience with the alder adult population. The Department also a contract with Home Health Solutions to provide a nurse's assistant responsible for the personal and health care needs required by some participants. Staffing agreements with both agencies were signed, and all staff were hired and trained in December, 2002. Certification Process After extensive local facility inspections and program review by the Department of Social Services, the Health Department and state program review, the N,C, Division of Aging issued a state adult day care operators license in March, 2003 to serve up to ten full time participants a day. However, based on actual square footage, the current location conceivably could accommodate up to twelve participants and future consideration may be given to that issue, Participants Enrollment Process The enrollment process provides vital information for the staff about a participant. The most critical part of this is the medical examination report that is completed by the participant's physician. It provides information on medical conditions and medications, The program has experienced great delays in this part of the process, sometimes up to a month or longer to have a report returned, The report is vital because a participant may not begin attendance until the report is received and reviewed, There is one physician office that charges a fee to the family to have the report completed. Physicians and their offices need to be educated about the value of the program, and the importance of returning the completed paperwork. Need for Continued Public-Private Support Last year mare than 6 programs or centers of this type closed in North Carolina. They close most often because of financial difficulties, Adult day services receive low reimbursement, if any, from state and federal sources, Medicare provides no reimbursement. Medicaid allocates $37.50 per day in its Community Alternatives Program (CAP/DA). The State Adult Day Care Fund provides $23,07 for a participant attending for social care, and $30,00 for those requiring medical care. The cost to provide the service per person per day is approximately $65A0. The average monthly income of our participants is $890 (See attachment #2)..